Patient populations at risk for intra-abdominal hypertension and abdominal compartment syndrome
Zsolt J Balogh1, Ari Leppäniemi
1Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW 2130, Australia. Zsolt.Balogh@hnehealth.nsw.gov.au
Abstract:
Intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are critical care conditions with significant morbidity and mortality. The surgical measure to treat ACS (decompressive laparotomy) is hazardous and results in an open abdomen with potential major complications such as fistulas, abscesses, and large ventral hernias. As a result of the complicated natural history of IAH/ACS as well as significant morbidity and mortality, prevention is a logical approach to this complex problem. Knowledge of the patient populations at high risk for developing IAH/ACS is crucial. The aim of this review is to discuss the high-risk populations for acute IAH/ACS among surgical patients.
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